Catamenial hemoptysis. Diagnosis with MRI

Chest. 1997 May;111(5):1447-50. doi: 10.1378/chest.111.5.1447.


Thoracic endometriosis is a rare disorder. We report a case of a 26-year-old woman with a 4-year history of catamenial hemoptysis due to thoracic endometriosis which was diagnosed by MRI and treated successfully by means of video-assisted thoracoscopic wedge-resection of the solitary pulmonary lesion. Medical therapy with hormones was not necessary. There is no evidence of recurrence 10 months after the operation. This case demonstrates that MRI of the chest may be considered for the diagnostic work-up of patients with catamenial hemoptysis. It also shows that wedge-resection of pulmonary endometriosis foci by means of video-assisted thoracoscopy-an approach that has not been described in the literature thus far-is an effective therapy in localized peripheral pulmonary parenchymal endometriosis.

Publication types

  • Case Reports

MeSH terms

  • Adult
  • Bronchoscopy
  • Contrast Media
  • Endometriosis / complications
  • Endometriosis / diagnosis*
  • Endometriosis / surgery
  • Endoscopy
  • Female
  • Gadolinium
  • Gadolinium DTPA
  • Hemoptysis / diagnosis*
  • Hemoptysis / etiology
  • Humans
  • Lung Diseases / complications
  • Lung Diseases / diagnosis*
  • Lung Diseases / surgery
  • Magnetic Resonance Imaging*
  • Menstruation*
  • Organometallic Compounds
  • Pentetic Acid / analogs & derivatives
  • Pneumonectomy
  • Thoracoscopy
  • Tomography, X-Ray Computed
  • Video Recording


  • Contrast Media
  • Organometallic Compounds
  • Pentetic Acid
  • Gadolinium
  • Gadolinium DTPA